The problem of low adherence in outpatient conditions on one side and the ubiquity of mobile communications and data services on the other side suggests an innovative idea: improve some forms of outpatient adherence through the use of mobile information technology (IT). This idea springs from the general approaches recommended for improving adherence in relevant medical literature (Haynes, Yao, Degani, Kripalani, Garg, & McDonald, 2005; McDonald, Garg, & Haynes, 2002). Although the philosophy of using the newest technology for promoting wellbeing may seem attractive, various human, technological, and financial issues must be considered first (Cocosila & Archer, 2005b). On the adoption of mobile technology, an important aspect that has not been addressed adequately in the literature is the business perspective. The objective of this study is to introduce a framework for determining the business case for mobile information technology (IT) solutions that will help to increase outpatient adherence.
Key Terms in this Chapter
Cost/Benefit Analysis of Health Care Services: The cost of providing/receiving health care services vs. the value of the services, from multiple perspectives.
Disability Adjusted Life Years: Lost years of healthy life caused by premature death or disability.
Patient Self-Management: The responsibility and practice of patients managing their own medical care, with the support of advice and education by medical practitioners.
User Adoption: The acceptance and use of a system based on usefulness, ease of use, or other factors.
Outpatient Conditions: Patients cared for in out-of-hospital conditions (i.e., primary care and home care).
Patient Adherence: A patient’s willingness and practice of following medical treatment and advice.
Mobile Health Care: Using mobile telecommunication technology and portable devices to provide health care services.